摘要
目的探讨基层医院小儿不同类型尿道下裂手术治疗体会经验。方法回顾性分析具体泌尿外科2008年7月～2009年7月收治的25例尿道下裂患者的临床资料。结果Ⅰ期下弯矫正术5例,snodgrassⅠ期尿道成形术8例,成功6例;Ⅱ期尿道成形术8例,成功5例;单纯尿瘘修补术7例,成功5例。术后并发症:尿道狭窄2例,行尿道扩张治愈。尿瘘8例,其中1例小瘘自愈,余7例需再次手术治疗。结论根据尿道下裂不同情况选择适宜的手术方式,手术操作娴熟精细,使用生物反应小的缝线是减少并发症、提高手术成功率的关键。
Objective To analyze the clinical materials of 25 patients with hypospadia.Methods Five cases were received staged surgery.8 cases with single stage repairmen,8 cases with second stage urethroplasty,4 cases with 7 uretheral fistula received simple fistula repair.Results Six of 8 first stage snodgrass uretheroplasty,five of 8 second stage uretheral reconstruction,five of 7 uretheral fistula repair were succeeded.Postoperative complications include uretheral stricture in 2 cases,uretheral fistula in 8 cases,1 of them cured spontaneously,the others needed further surgical repair.Conclusion Surgery was the only treatment for hypospadia.Its depending on the type of hypospadia and the selection of treatment methods according to the different case situation.Also the excellent skill and experience was very important to obtain high success rate.
出处
《新疆医科大学学报》
CAS
2010年第11期1339-1340,1345,共3页
Journal of Xinjiang Medical University
关键词
尿道下裂
手术治疗
并发症
Hypospadias
surgical treatment
complication
